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Endosc Int Open 2016; 04(04): E389-E390
DOI: 10.1055/s-0042-100905
Case report
© Georg Thieme Verlag KG Stuttgart · New York

Argon plasma coagulation for the resolution of basket impaction from large common bile duct stones

Patommatat Bhanthumkomol
1   GI Unit, Department of Medicine, Thammasat University Hospital, Pathumthani, Thailand
,
Pitulak Aswakul
2   Liver and Digestive Institute, Samitivej Sukhumvit Hospital, Bangkok, Thailand
,
Varayu Prachayakul
3   Siriraj GI Endoscopy Center, Siriraj Hospital; Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Mahidol University, Bangkok, Thailand
› Author Affiliations
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Publication History

submitted 04 August 2015

accepted after revision 04 January 2016

Publication Date:
10 February 2016 (online)

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Introduction

One of the most common indications for endoscopic retrograde cholangiopancreatography (ERCP) is choledocholithiasis – the occurrence of stones in the common bile duct (CBD). However, in approximately 5 % to 10 % of cases, the procedure fails, especially in a patient with large or impacted stones [1]. An uncommon adverse event during ERCP with CBD stone clearance is impaction of the basket-stone complex, which sometimes leads to unnecessary surgical procedures such as laparoscopy or even exploratory laparotomy. This report describes a patient in whom argon plasma coagulation (APC) was used to resolve basket-stone impaction.

 

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